2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
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Plan Name | Monthly Premium |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing | Members In This Plan | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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-- This plan not offered in 2012 -- | S5967 -174 | |||||||||||
2013 WellCare Extra (PDP) | $39.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Rite Aid/EnvisionRxPlus (PDP) | $65.80 | $0 | Some Generics | No | S7694 -073 | $0.00 | 20% | 15% | 30% | 276 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -037 | |||||||||||
2013 SmartD Rx Plus (PDP) | $69.00 | $0 | Some Generics | No | $0.00 | $20.00 | $35.00 | $85.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $67.80 | $0 | Few Generics | No | S5617 -172 | $0.00 | $5.00 | $41.00 | $85.00 | 1,267 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $76.50 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $85.30 | $0 | Some Generics | No | S5921 -183 | $4.00 | $7.00 | $40.00 | $76.00 | 4,853 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $90.00 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2012 First Health Part D Premier Plus (PDP) | $92.20 | $0 | Some Generics, Some Brands |
No | S5674 -011 | $0.00 | $20.00 | 25% | 41% | 4,714 members | ||
2013 First Health Part D Premier Plus (PDP) | $92.40 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2012 Blue MedicareRx Premier (PDP) | $104.90 | $0 | Many Generics | No | S2893 -003 | $4.00 | $9.00 | $30.00 | $70.00 | 20,680 members | ||
2013 Blue MedicareRx Premier (PDP) | $100.70 | $0 | Many Generics, Few Brands |
No | $4.00 | $9.00 | $30.00 | $70.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $85.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -005 | $0.00 | $40.00 | $90.00 | 33% | 1,786 members | ||
2013 SilverScript Plus (PDP) | $102.90 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $91.90 | $0 | Many Generics | No | S5810 -172 | $4.00 | $25.00 | $35.00 | $80.00 | 1,948 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $109.60 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Humana Complete (PDP) | $110.20 | $0 | Many Generics, Some Brands |
No | S5884 -031 | $5.00 | $38.00 | $72.00 | 33% | 1,880 members | ||
2013 Humana Complete (PDP) | $114.00 | $0 | Some Generics, Some Brands |
No | $5.00 | $38.00 | $72.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $34.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -015 | 25% | 25% | 25% | 1,416 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-003 -- | ||||||||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2012 Health Net Orange Option 1 (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -004 | $5.00 | $45.00 | $93.00 | 25% | 46,486 members | ||
-- Members will be assigned to SilverScript Basic S5601-004 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $31.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -071 | $2.00 | 25% | 49% | 25% | 38,937 members | ||
-- Members will be assigned to SilverScript Basic S5601-004 -- | ||||||||||||
2012 Health Net Orange Option 2 (PDP) | $87.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -010 | $0.00 | $38.00 | $75.00 | 33% | 2,802 members | ||
-- Members will be assigned to SilverScript Plus S5601-005 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $83.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -139 | $0.00 | $40.00 | $70.00 | 33% | 1,798 members | ||
-- Members will be assigned to SilverScript Plus S5601-005 -- | ||||||||||||
2012 WellCare Signature (PDP) | $55.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -036 | $0.00 | $20.00 | $45.00 | $90.00 | 12,052 members | ||
-- Members will be assigned to WellCare Classic S5967-139 -- | ||||||||||||
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